title: Acute type A aortic dissection at seven weeks of gestation in a Marfan patient: case report.
abstract: A 34-year-old Marfan patient at the seventh week of pregnancy presented with acute type A aortic dissection and severe aortic regurgitation. The aortic valve and ascending aorta were replaced successfully using circulatory arrest and deep hypothermia. At 35 weeks of gestation, the patient underwent a cesarean section and delivered a healthy baby. To our knowledge, this case is the first to report a favorable fetal outcome following surgical repair of acute dissection in the first trimester of pregnancy.
authors.affiliation: Prince Salman Heart Center, King Fahad Medical City, Riyadh, KSA.
authors.forename: Walid H
authors.initials: WH
authors.lastname: Shaker
authors.forename: Amal A
authors.initials: AA
authors.lastname: Refaat
authors.forename: Mohammed A
authors.initials: MA
authors.lastname: Hakamei
authors.forename: Mohamed F
authors.initials: MF
authors.lastname: Ibrahim
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D001021:Aortic Valve / Q000473:pathology*; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000503:physiopathology; D002585:Cesarean Section; D017809:Fatal Outcome; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D008382:Marfan Syndrome / Q000503:physiopathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011261:Pregnancy Trimester, First